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YUN & CHIN-TAN PHYSICIANS PLLC NPI 1114680287


NPI Information

NPI: 1114680287
Provider Name: YUN & CHIN-TAN PHYSICIANS PLLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 33D2255837

Address:
14205 ROOSEVELT AVE APT 112
FLUSHING, NY
ZIP 11354
Phone: (718) 663-2179
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YUN & CHIN-TAN PHYSICIANS PLLC is an adult medicine family medicine in Flushing, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. YUN & CHIN-TAN PHYSICIANS PLLC NPI is 1114680287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14205 ROOSEVELT AVE APT 112
FLUSHING, NY
ZIP 11354-005
Phone: (718) 663-2179
Fax: (631) 684-2401

The provider's authorized official is Jessica Chin-tan .
The authorized official title is Physician and has the following contact phone number (718) 663-2179.

The CLIA number assigned to this NPI record is 33D2255837 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2021 and was last updated on 5/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11386922359OTHERNEW YORKNPI
21154679090OTHERNEW YORKNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.